Abstract：
STUDY DESIGN:Two patients with diagnosis of unilateral cervical facet fracture due to motor vehicle accident (MVA) are presented, and the literature is reviewed. OBJECTIVE:To discuss the diagnostic difficulties and management strategies in two patients with post-traumatic cervical facet fracture. SETTING:Department of Neurosurgery, Zonguldak Karaelmas University, Faculty of Medicine, Turkey. SUBJECT:Nonoperative treatment with immobilization was preferred in two female cases (33-34 years old) with diagnosis of C6-7 facet fracture following MVA. Magnetic resonance imaging (MRI) could be performed in acute period in the first case, but not in the second because of inadequate technical condition. RESULT:The first case with a good compliance to immobilization recovered without any neurological complication. However, the second case mobilized earlier and used a collar irregularly. Instability developed in the second case on the second month and surgical intervention with anterior approach was performed. CONCLUSION:The diagnosis of unilateral facet fractures is often missed and the treatment is still controversial. The compliance of the patient to cervical immobilization in nonoperative treatment plays a very important role in the development of late complications. MRI in the acute period may be useful in determining instability.
journal_name
Spinal Cordjournal_title
Spinal cordauthors
Kalayci M,Cağavi F,Açikgöz Bdoi
10.1038/sj.sc.3101623subject
Has Abstractpub_date
2004-08-01 00:00:00pages
466-72issue
8eissn
1362-4393issn
1476-5624pii
3101623journal_volume
42pub_type
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